the Safety of Fucou and Cephanmycin During Pregnancy - Pharmacology

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The use of Fucou and cephamycin during pregnancy?


Hello Mr.
Ke: I am currently five weeks pregnant.
I sought medical attention due to a fever caused by pharyngitis, and the doctor prescribed me cephamycins tid, fucou tid, APAP tid, and Pawell tid.
The doctor mentioned that these medications should be classified as Category B drugs.
However, I have heard that fucou is classified as a Category C medication.
Could you please clarify my doubts?

Emmie, 30~39 year old female. Ask Date: 2003/09/28

Dr. Ke Bowen reply Pharmacology


Hello: Fucou is Medicon-A produced by Huashing Pharmaceutical.
The components of Medicon-A include Dextromethorphan HBr 20mg, Potassium Cresolsulfonate 90mg, and Lysozyme Chloride 20mg.
Among these, Dextromethorphan HBr 20mg is the only cough suppressant and is classified as a Schedule C medication.
Your concerns are valid; please consult your attending physician for further inquiries.
Thank you!

Reply Date: 2003/09/28

More Info


When it comes to the safety of medications during pregnancy, it is crucial to understand the classifications and potential risks associated with each drug. In your case, you are concerned about the safety of Fucou (Medicon-A) and Cephapmycin, which were prescribed to you during your fifth week of pregnancy due to a throat infection and fever.

Firstly, it's important to clarify the FDA pregnancy categories, which classify drugs based on their potential risks to a developing fetus. The categories are as follows:
- Category A: Controlled studies in humans show no risk to the fetus.

- Category B: Animal studies show no risk, but there are no adequate studies in pregnant women, or animal studies show an adverse effect but human studies do not.

- Category C: Animal studies show an adverse effect, and there are no adequate studies in humans. Drugs in this category should only be given if the potential benefit justifies the potential risk to the fetus.

- Category D: There is evidence of risk to the human fetus, but the benefits may outweigh the risks in certain situations.

- Category X: Studies in animals or humans have demonstrated fetal abnormalities, and the risks involved in use of the drug in pregnant women clearly outweigh any possible benefit.

In your case, Cephapmycin is classified as a Category B drug, which means that it has not shown any risk in animal studies and lacks adequate studies in pregnant women. This generally indicates that it is considered relatively safe for use during pregnancy, especially when prescribed by a healthcare professional.

On the other hand, Fucou, which contains Dextromethorphan HBr, Potassium Cresolsulfonate, and Lysozyme Chloride, is classified as a Category C drug. This classification indicates that animal studies have shown adverse effects, and there are no well-controlled studies in humans. Therefore, the use of Fucou during pregnancy should be approached with caution, and it is essential to weigh the potential benefits against the risks.

Given that you are in your first trimester, this is a critical period for fetal development, and many medications can have varying effects. It is advisable to consult your healthcare provider regarding the use of Fucou, especially since you have concerns about its classification. Your doctor can provide personalized advice based on your specific health situation and the severity of your symptoms.

If you have already taken Fucou and are worried about its effects, it is important to communicate this with your healthcare provider. They may recommend monitoring or additional tests to ensure the health of both you and your baby. In general, if a medication is necessary for your health, the benefits may outweigh the risks, but this is a decision that should be made in consultation with your healthcare provider.

In summary, while Cephapmycin is considered relatively safe during pregnancy, Fucou is a Category C drug, and its use should be carefully evaluated. Always discuss any concerns with your healthcare provider to ensure the best outcomes for you and your baby.

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